ASSESSMENT OF PEDIATRIC NEAR-DROWNING VICTIMS - IS THERE A ROLE FOR CRANIAL CT

Previous studies have suggested that CT examinations of the brain in c hildren soon after near-drowning incidents are not helpful in predicti ng clinical outcome and are not necessary. The clinical and CT finding s of 19 pediatric near-drowning victims were reviewed for correlation with clinical and neurologic outcome. As expected, a normal initial CT scan was poorly predictive of outcome, whereas an abnormal CT scan in the initial 36 h following an immersion incident was associated with a dismal prognosis. Three children with abnormal initial CT examinatio ns were identified and all died within 3 days of admission. A CT scan performed in the immediate near-drowning period, therefore, may be hel pful in identifying some patients who have sustained severe neurologic injury.